Site Administrator & Tech Lead
- Feb 24, 2001
- University of Michigan Medical School
- Lake Oswego
If you write a letter or call them with your concerns, I have found that they will do it.Thanks again for Dr. Madonna for sitting down with us.
I appreciated his "tips" on modifying when the patients take their HTN meds to reduce the risk. The big question is can you get a cardiologist (or GP for that matter) to agree to adjust the patient's dosing schedule?
You have not told us enough to decide. What are the rim ratios? VDD? IOPs?New patient comes to your office. 55wm. He’s being treated for hypertension and reports it’s controlled well. BP in office is 120/80.
Cd is 0.3 OU.
Is this patient a glaucoma suspect?
If so....what tests do you order?
You have not told us enough to decide. What are the rim ratios? VDD? IOPs?
However, I tell my students there are two types of patients: glaucoma suspects, and glaucoma patients.
Yes they are a suspect, all patients are. But there level of suspicion is low. I don't think you can medically justify any glaucoma testing unless you notice a change or have something suspicious. If I did any testing it would be an OCT of the GCC and RNFL.Let's assume it's all "normal."
The question is.....is a patient with controlled hypertension a glaucoma suspect? If so, what tests, if any should be ordered?